| NPI | 1962546325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES SULLIVAN Counselor 630-705-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-00004412) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |